F14.150

Clinical Causes: Recreational or habitual use of cocaine, especially in high doses or over extended periods Genetic predisposition to substance use disorders or mental health conditions History of mental health issues that may be exacerbated by substance misuse Environmental stressors or peer pressure that encourage drug use Co-occurring mental health disorders such as antisocial personality disorder or other substance dependencies

Key Symptoms: Persistent delusions that are resistant to logic or contrary evidence Hallucinations—seeing or hearing things that aren't present Paranoia and obsessive suspicion of others Agitated or aggressive behavior Elevated mood or euphoria followed by confusion or agitation Impaired judgment and decreased impulse control Changes in sleep patterns, such as insomnia or hypersomnia Physical symptoms like increased heart rate, elevated blood pressure, and dilated pupils

Diagnosis Path: Diagnosis typically involves a comprehensive psychiatric assessment, including a detailed history of drug use and mental health. Healthcare providers may use interviews, questionnaires, and laboratory tests like blood or urine screenings to confirm recent cocaine use. The clinician will evaluate whether the psychotic symptoms are directly linked to substance use and rule out other mental health disorders. Medical imaging or neurological assessments may be conducted if necessary to rule out other causes of psychosis.

Treatment Protocols: Detoxification and medically supervised withdrawal to safely stop cocaine use Psychotherapy methods such as cognitive-behavioral therapy (CBT) to address underlying behavioral issues and prevent relapse Medication management, which may include antipsychotic drugs to control delusions and hallucinations Support groups and community resources to provide ongoing support and relapse prevention